A 35years old woman complaining of fullness in both supraclavicular region . Her father was asthmatic.. .she gets tired and feel muscle pain on working in house. She is on 100mcg Levothyroxine   , calcium, vitD, Not getting relief.

X-ray chest Pa view shows overinflation of upper lungs and lower lungs are opecified and in retracted stat. TEC 480/-CBC NORMAL BLOOD SUGAR NORMAL, S. TSH 3.2 . Why Two Pathology Emphysema + Allergic Deposition, Or Its COPD?